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肠扭转。

Volvulus.

机构信息

Division of Trauma, Emergency General Surgery and Critical Care Surgery, Department of General Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE 68198-3280, USA.

Division of Trauma, Emergency General Surgery and Critical Care Surgery, Department of General Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE 68198-3280, USA.

出版信息

Surg Clin North Am. 2018 Oct;98(5):973-993. doi: 10.1016/j.suc.2018.06.005. Epub 2018 Jul 31.

Abstract

Intestinal volvulus, regardless of location, is a rare disease process, but one that requires high suspicion and timely diagnosis given the increased incidence of intestinal necrosis and potential mortality. Most patients with intestinal volvulus require some form of surgical intervention. However, over the last few decades, the work-up and management of intestinal volvulus has changed given constant advancements in technology and patient care. Most importantly, however, is recognizing the need for emergent versus more elective surgery because this influences the morbidity and mortality for the individual patient.

摘要

肠扭转,无论其位置如何,都是一种罕见的疾病过程,但鉴于肠坏死的发生率增加和潜在的死亡率,需要高度怀疑并及时诊断。大多数肠扭转患者需要某种形式的手术干预。然而,在过去几十年中,随着技术和患者护理的不断进步,肠扭转的检查和治疗方法发生了变化。然而,最重要的是认识到需要紧急手术还是更择期手术,因为这会影响患者的发病率和死亡率。

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